The Negucci Project

Inside The Struggle Seattle Women Who Are Homeless

Our organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

Thank you for your interest in our organization.

 Name: ______________________________________

Address: _____________________________________ City:_____________________

State:________ Zip:_____________



Any special talents or skills you have that you feel would benefit our organization? ______________________

Interests: Please tell us in which areas you are interested in volunteering

___ Administration ___ Events ___ 

Fundraising ___ Deliveries ___ Clothing Bank ___

Please indicate days available: Mon __ Tues__ Wed__ Thur__ Fri__ Sat__

Times available:  From ___ to ___ 

Any physical limitations? _____________________________

In case of emergency contact: __________________________

As a volunteer of our organization I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.

 Signature: _____________________ Date:__________